Kazmouz, Safwan

Kazmouz, Safwan is an sole proprietor health care provider with primary practice located at 25 Circle Dr Apt A , Tiburon CA 94920-2180. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Allopathic & Osteopathic Physicians / Geriatric Medicine. Ambulatory Health Care Facilities / Clinic/Center is his primary health care specialty. Kazmouz, Safwan can be contacted via phone (734) 718-1749.

Contact Information

Primary practice address
25 Circle Dr Apt A Tiburon CA 94920-2180
Phone: (734) 718-1749
Fax: (415) 888-8006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X A65580 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 4301062135 Michigan

Profile Details

NPI number 1245238922
LBN Legal business name Kazmouz, Safwan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Sep 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245238922 NPPES
Michigan MEDICAID 4123626
Michigan Other 0808272492

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